2014 Boys Application Form

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Girls Application

School Name:  
Coach’s Name:   
School Address: 
City:       State:                 Zip: 
Home Address:
City:      State:                 Zip: 
Home Phone:            
Cell Phone:    
School Phone:  
Email Address:
Which level of competition would you like to play:                  Level 1 (Gold):        or       Level 2 (Silver):            or          Level 3 (Bronze):

Check Session to indicate team (or teams) (9th, JV, Varsity)

Session I June 22, 23, 24 (Sunday–Tuesday)   9th   JV   Varsity
Session II July 13, 14, 15 (Sunday–Tuesday)   9th   JV   Varsity

School Colors:   
(If you want reversible jerseys)
Golf         Or               Attaché Bag            Or               Jacket    -   Jacket Size:
Deposit:                      Number of players:                                        Jersey Sizes:

Resident at Siena Heights University ($199) - Session I
Resident at Adrian College ($207) - Session II
Resident at Siena without reversible practice jersey ($190) - Session I
Resident at Adrian College without reversible practice jersey ($198) - Session II
Resident at Motel-with lunch and dinner ($164)
Commuter without meals ($123)
Games ONLY ($93)

Make check payable to:
Send to:
Adrian Team Camp Inc.
795 Richlyn Drive, Adrian, MI 49221

For further information  Contact Pat at (517) 264-6148 or email.